DAWN JENNIFER GEISLER WANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

JENNIFER

Last Name

GEISLER WANG

Business Name

DAWN JENNIFER GEISLER WANG

Original Issue Date

06/20/2008

Effective Date

05/25/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014